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Provider Data Management Specialist II Resume Example

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PROVIDER DATA MANAGEMENT SPECIALIST II
Professional Summary

Talented Database Administrator with 4 years of expertise and extensive knowledge of Data Analyst. Proficient in diverse range of development languages, including Spanish and English. Excellent communicator with advanced presentation creation and delivery skills. Enthusiastic Data Analyst eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of critical thinking and problem solving and training in multiple software. Motivated to learn, grow and excel in any opportunity provided.

Skills
  • Microsoft .NET framework
  • Database development
  • Compiling data
  • Data audits
  • Highly Organized, detail oriented
  • Great time management, sense of urgency
  • Takes Initiative
  • Adapts to change quickly
  • Effective and attentive speaking and listening
  • Reporting and documentation
  • Project organization
  • Problem resolution
  • Process improvement
  • Data Analysis
  • Business Needs Analysis
  • Data Formatting
  • Data Profiling
  • Data Quality Assurance Processes
  • Defect Tracking
  • Process Mapping
Work History
Provider Data Management Specialist II, 09/2019 to Current
Health Net – Woodland Hills, CA
  • Delivered in-depth Portico training, imparting knowledge of best practices for protecting data and minimizing errors.
  • Guided various aspects of acquisition process, including due diligence, contracting and valuation.
  • Collaborated closely with upper management to drive strategy through development and implementation of new processes.
  • Monitored employee tasks, evaluating information processing and performance to gauge business functions and inefficiencies.
  • Applied knowledge of data modeling and statistical analysis to note trends and draw conclusions.
  • Evaluated and adopted new technologies to address changing industry needs.
  • Organized system infrastructure documentation and operating procedures, strengthening controls and enhancing overall performance.
  • Led and audited international subsidiaries and operational processes to mitigate risks.
Provider Database Coordinator, 01/2018 to 08/2019
Health Net – Woodland Hills , CA
  • Used Portico to enter over 150 pieces of medical data over 3 days, maintaining 100% accuracy.
  • Outlined appropriate processes and procedures to fulfill and complete inquiries.
  • Evaluated source documents to locate information needed for each data entry field.
  • Obtained scanned records and uploaded into database.
  • Produced monthly error reports using advanced Excel spreadsheet functions.
  • Supported Claims department with special projects resulting in fewer claim errors.
  • Increased data-entry productivity by maintaining detailed logs of data projects, identifying issues and improving them.
  • Reviewed and updated client correspondence files and medical records database information to maintain accurate records.
Provider Data Management , 10/2016 to 01/2018
Kelly Services – Woodland Hills , CA
  • Organized, sorted and checked medical information input data against original documents.
  • Corrected any data entry error to prevent later issues such as duplication or data degradation.
  • Reviewed and updated client correspondence files and rates database information to maintain accurate records.
  • Tracked and maintained records for PDM department.
  • Compiled information and input into different database.
  • Sent completed entries to Business Analysts for evaluation and final approval.
  • Monitored database updates and verified for correctness.
  • Scrubbed data for errors and made corrections to maintain clean records.
  • Evaluated source documents to locate information needed for each data entry field.
  • Completed data entry tasks with accuracy and efficiency.
Court Reporter Clerk, 09/2015 to 10/2016
Personal Court Reporters – Van Nuys , CA
  • Managed multiple projects simultaneously using organizational and analytical skills.
  • Managed office inventory by restocking supplies and placing purchase orders to maintain adequate stock levels.
  • Drafted professional memos, letters and marketing copy to support business objectives and growth.
  • Answered telephone calls to field inquiries from clients, vendors and various other callers seeking information.
  • Recognized reporters issues prior to escalation and applied edditng for effective resolution.
  • Kept office supplies well organized and sufficiently stocked, placing orders promptly to replenish materials before depleted.
  • Prepared packages for shipment, pickup and courier services for prompt delivery to customers.
Education
No Degree: Journalism And Communications California State University - Northridge - Northridge, CA
High School DiplomaFairfax Senior High School - Los Angeles, CA
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Resume Overview

Companies Worked For:

  • Health Net
  • Kelly Services
  • Personal Court Reporters

School Attended

  • California State University - Northridge
  • Fairfax Senior High School

Job Titles Held:

  • Provider Data Management Specialist II
  • Provider Database Coordinator
  • Provider Data Management
  • Court Reporter Clerk

Degrees

  • No Degree : Journalism And Communications
    High School Diploma

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